Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,724.22 / $4,938.58	Facility		$100.00	$1,724.22	$4,938.58
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $632.27 / $1,293.17 / $1,388.41	Facility	54	$632.27	$1,293.17	$1,388.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.03 / $552.47 / $936.99	Professional		$459.03	$552.47	$936.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $495.95 / $773.16 / $1,079.71	Professional		$495.95	$773.16	$1,079.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.02 / $1,306.21 / $1,351.93	Facility		$842.02	$1,306.21	$1,351.93
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $589.41 / $589.41 / $589.41	Facility	54	$589.41	$589.41	$589.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $668.82 / $992.69 / $1,544.35	Professional		$668.82	$992.69	$1,544.35
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $591.00 / $937.16 / $1,854.12	Professional		$591.00	$937.16	$1,854.12
United Facility/Professional Facility Modifier Low / Median / High Price $8,611.00 / $8,611.00 / $8,611.00	Facility		$8,611.00	$8,611.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $618.16 / $823.28 / $1,592.00	Professional		$618.16	$823.28	$1,592.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $390.29 / $489.83 / $676.76	Professional		$390.29	$489.83	$676.76